| Ccmg Hulett Clinic | |
|
131 Red Devil Drive Hulett WY 82720 | |
| (307) 688-1000 | |
| Not Available |
| Full Name | Ccmg Hulett Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 131 Red Devil Drive, Hulett, Wyoming |
| Authorized Official Name and Position | Mary Lou Tate (CFO) |
| Authorized Official Contact | 3076881523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccmg Hulett Clinic 500 Ross Street 154-0455/ Po Box 392967 Pittsburgh PA 15251-9967 Ph: () - | Ccmg Hulett Clinic 131 Red Devil Drive Hulett WY 82720 Ph: (307) 688-1000 |
| NPI Number | 1750047031 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750047031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hulett Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Main Street, Hulett, WY 82720 Phone: 307-467-5281 Fax: 307-283-2255 |